Approaches used by NGOs in managing HIV/AIDS programmes in the Eastern Cape
- Authors: Budaza, Silakhe
- Date: 2020
- Subjects: HIV(Disease)-- Psychological aspects -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/49775 , vital:41799
- Description: The purpose of this research study was to explore the interventions NGOs used in addressing the prevalence of HIV/AIDS along with an exploration of the management and causal factors behind project failures and success. Five districts in the province of the Eastern Cape, South Africa were used in the study. The study had three objectives- the first being to identify the various approaches used to manage HIV/AIDS by NGOs; the second was to consider the influence HIV/AIDS policies on the health sector NGOs and finally the third objective of the study was to explore the monitoring and evaluation mechanism set in place to track progress, or lack of, in HIV/AIDS programs. The research design followed a qualitative methodology and data was gathered from ten participants through semi-structured interviews and supported by a document analysis of existing HIV and AIDS policies from both a national and provincial level which were qualitative. The findings showed that a lack of adequate or delayed funding affected the overall performance of NGOs as well as approaches such as home-based care and educational support programs. Resource mobilization and fundraising ought to be diversified so that there is a committed and varied pool of funds to enable the execution of HIV/AIDS services and programs. The government and other stakeholders should build on local capacity to implement these various programs and build financial, social and organizational sustainability.
- Full Text:
- Date Issued: 2020
Approaches used by NGOs in managing HIV/AIDS programmes in the Eastern Cape
- Authors: Budaza, Silakhe
- Date: 2020
- Subjects: Non-governmental organizations -- South Africa , Disease management -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/50457 , vital:42169
- Description: The purpose of this research study was to explore the interventions NGOs used in addressing the prevalence of HIV/AIDS along with an exploration of the management and causal factors behind project failures and success. Five districts in the province of the Eastern Cape, South Africa were used in the study. The study had three objectives- the first being to identify the various approaches used to manage HIV/AIDS by NGOs; the second was to consider the influence HIV/AIDS policies on the health sector NGOs and finally the third objective of the study was to explore the monitoring and evaluation mechanism set in place to track progress, or lack of, in HIV/AIDS programs. The research design followed a qualitative methodology and data was gathered from ten participants through semi-structured interviews and supported by a document analysis of existing HIV and AIDS policies from both a national and provincial level which were qualitative. The findings showed that a lack of adequate or delayed funding affected the overall performance of NGOs as well as approaches such as home-based care and educational support programs. In addition, the negative stigma associated with HIV/AIDS has been a looming issue since 2004 which continues to undermine efforts of NGOs in their means to manage HIV/AIDS. The consequences of stigma from the findings are treatment adherence issues and little to no attendance of HIV/AIDS programs provided by the respective NGOs. Effective planning and management along with capacitated staff and volunteers increased the positive outcome of HIV/AIDS programs and services offered by the NGOs. From the study findings, it is recommended that the planning of HIV/AIDS approaches should consider resource planning to avoid abandoning projects midway due to a lack of resources. The management and monitoring of NGOs within the health sector, dealing with epidemics such as HIV/AIDS need to build on flexibility in implementation and have effective risk assessments in place as a contingency, so that corrective action is taken. Resource mobilization and fundraising ought to be diversified so that there is a committed and varied pool of funds to enable the execution of HIV/AIDS services and programs. The government and other stakeholders should build on local capacity to implement these various programs and also build financial, social and organizational sustainability.
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- Date Issued: 2020
Assessing community structure and trophic interrelationships in three differently impacted headwater streams in the AmatholeWinterberg freshwater ecoregion, South Africa
- Authors: Matomela, Nonjabulo Happy
- Date: 2020
- Subjects: Stream ecology -- South Africa -- Eastern Cape , Freshwater animals -- Ecology -- South Africa -- Eastern Cape , Kat River (South Africa) -- , Lushington River (South Africa) , Elands River (South Africa) , Eyre River (South Africa) , Food chains (Ecology) -- South Africa -- Eastern Cape , Water quality -- South Africa -- Eastern Cape , Land use -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/147653 , vital:38658
- Description: Afromontane regions represent some of the highly threatened ecosystems on the planet as they harbour endemic and often relic freshwater fauna. These ecologically sensitive ecosystems have been altered by multiple impacts, including invasion by non-native fishes, replacement of diverse indigenous vegetation with monoculture plantations, agricultural and mining activities, hydrological modifications, and degradation of instream habitats, with potential detrimental effects on aquatic community structures and food web dynamics. The aim of the present study was to compare spatio-temporal patterns of macroinvertebrate and fish communities as well as food web dynamics in three differently impacted headwater tributaries of the Kat River in the Amathole-Winterberg freshwater ecoregion in the Eastern Cape Province of South Africa. The upper Kat River catchment was the ideal model for purposes of the present study as it contains streams with varying degrees of human impact. The streams considered in the present study were (i) the Eyre River which was considered to closely represent near-natural conditions as it is the least impacted stream in this catchment, with the riparian zone dominated by relatively intact and diverse native woody vegetation, (ii) the Elands River whose catchment has been altered by agricultural activities, and (iii) the Lushington River, whose riparian zone has been heavily invaded by black wattle. The three headwater streams were generally distinguished based on the physical-chemical variables. The Elands River was characterised by high conductivity and total dissolved solids (TDS). In addition, the Elands River was more alkaline and relatively warmer than the other two rivers. This suggested the negative influence of agriculture activities on the water quality in the Elands River. In general, the Lushington and Eyre rivers had comparable physical and chemical variables. However, the Lushington River was generally characterised by low streamflow, likely as a consequent of black wattle which is known for altering hydrological regimes of streams .The Eyre River and Lushington River were comparable in terms of macroinvertebrate richness and diversity, whereas the Elands River was characterised by low macroinvertebrate diversity and richness. Redundancy analysis indicated that the macroinvertebrate communities were mostly influenced by seasonality, with land-use accounting for a small but significant difference in community composition. In comparison, the generalised linear mixed-effects models (GLMMs) showed that chubbyhead barb abundance was significantly influenced by land-use patterns. Evaluation of food web dynamics using stable isotope analysis revealed that the food web structure in the three rivers differed substantially as a result of land-use. Specifically, the Eyre River was characterised by less variation in stable isotope values of basal food sources and consequently, the consumer groups had a narrow isotopic breadth. In contrast, the Elands River was characterised by a wide variation in basal food sources and therefore, a wider isotopic breadth for consumers. The Lushington River was spatially variable in terms of basal sources and isotopic breadth for consumers. The study concluded that food webs and trophic interrelationships were a more informative indicator of land-use than community structure was in evaluating the impact of land-use patterns on aquatic communities. In addition, future studies should seek to investigate food webs interrelationships in addition to community structure to infer a more conclusive river assessment.
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- Date Issued: 2020
Assessing factors that mitigate business risks in the operations of emerging black-owned businesses in Mthatha, Eastern Cape
- Authors: Bovungana, Afrika Khanyiso
- Date: 2020
- Subjects: Business enterprises, Black
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/47502 , vital:40121
- Description: The study sought to assessfactors that mitigate business risks in the operations of emerging black-owned businesses in Mthatha, Eastern Cape. Small businesses in the country are significant contributorsto the South African economy,as they provide employment and development opportunities to disadvantaged communities. Many of these businesses are operationalbut have no formal systems in place to operate effectively. The lack of proper operating procedures can result ininefficiencies that often lead to the collapse and eventual failure of these businesses. Van Vuuren,a professor at the University of Pretoria,mentionedin a round table dialogue that in South Africa the early stage entrepreneurial activity rate has been recorded as9.2% whereas in similar developing economies such as Brazil early stage entrepreneurialactivity isapproximately 40%. The study utilised a quantitative research design and employed a Likert scale questionnaire on a sample of 64 black-owned small, medium and micro enterprises (SMMEs) chosen by means of a random probability samplingmethod. QuestionPro was used to analyse the data and discuss the findings of the study.The various factors identified and highlighted indicate the integral challenges faced by the black-owned SMMEs remain prevalent. The success or failure is dependent on dynamic interventions that are taken into consideration and implemented for the improvement of the environment and business life cycle of black-owned businesses.
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- Date Issued: 2020
Assessing invasive alien aquatic plant species, phytoremediation effects using biological indicators in the Swartkops River system
- Authors: Tshithukhe, Getrude
- Date: 2020
- Subjects: Aquatic weeds -- Biological control -- South Africa -- Eastern Cape , Alien plants -- Biological control -- South Africa -- Eastern Cape , Phytoremediation -- South Africa
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/167665 , vital:41501
- Description: Pollution effluents in freshwater ecosystems are becoming increasingly ubiquitous as a result of cumulative anthropogenic activities, such as wastewater treatments works, and industrial, agricultural and mining activities. These activities are more noticeable in urban river atchments where there is greater human population densities and industrial developments. The ecological effects of anthropogenic activities on freshwater ecosystems include: excessive deposition of contaminants such as nutrients, pharmaceuticals, microplastics and other chemicals, which change physicochemical properties, causing a decline in aquatic biodiversity. These effects, impact negatively on the resilience of freshwater, making the systems vulnerable to invasion by alien aquatic plants. Ultimately, the loss of local biodiversity associated with the invasive alien aquatic plants (IAAP) results in a loss of some ecosystem goods and services. The Swartkops River system, Eastern Cape Province, drains most of the neighbouring formal and informal settlements, agricultural lands and industries, and hence is exposed to water pollution from human activities along the river catchment. Various water quality assessments are needed to evaluate the extent of pollutants and their impacts on the river ecosystem. Phytoremediation is one approach employed internationally for removing harmful nutrients and chemicals in freshwater ecosystems. Most studies measure the success of phytoremediation through measuring the reduction of contaminants in water or soil chemistry in mesocosm settings, which may not take into account all the important environmental factors that exist in the field. The present study assesses the phytoremediation potential of Pontederia (Eichhornia) crassipes and Salvinia molesta by evaluating water and sediment chemistry, periphyton and aquatic macroinvertebrate community recovery along seven field sites (excluding IAAP species mats sites) located upstream and downstream IAAP species mats on the Swartkops River between April and September 2018. Water and sediment samples were collected once monthly on ten seven field sites, including the IAAP species mat sites. Periphyton and aquatic macroinvertebrates were collected on seven sites, excluding the IAAP mat sites. Pontederia crassipes and S. molesta infestation in Swartkops River showed positive phytoremediation results and improved some water and sediment chemistry in the downstream treatments as compared to upstream treatments. Although there were some fluctuations with some variables, important water and sediment chemistry were reduced downstream. By contrast, biological assessment results did not show any response to the presence of IAAP species and phytoremediation. Periphyton and aquatic macroinvertebrates diversity and community assemblages were more influenced by water quality. Although IAAP species did provide improvement in water and sediments chemistry, multiple effluent point and non-point sources in Swartkops outpaced phytoremediation. Taxa evenness and relative taxa abundance showed significant differences between the upstream and downstream sites, however taxa richness and Shannon’s diversity showed no significant differences, indicating no relative recovery in biodiversity for either periphyton or aquatic macroinvertebrates. Similarly, the upstream and downstream sites showed similar periphyton and aquatic macroinvertebrates assemblages structure, all dominated by pollution tolerant taxa, thus indicating no functional diversity improvement down river; because of improvement in water chemistry downstream sites, it was expected that periphyton and aquatic macroinvertebrates assemblage structure would also improve at these downstream sites.It is possible that the phytoremediation process is outpaced by effluent discharges, given the multiple sources and distance between upstream and downstream mat sites. The study showed phytoremediation potential but the results were not indicated by biological indicators. A replica study conducted on a moderately disturbed river system is recommended to measure the success and recovery of biological indicators and assemblage composition following IAAP species phytoremediation; a moderately disturbed river compared to a largely disturbed river will broaden findings and look at differences for a wider application of phytoremediation.
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- Date Issued: 2020
Assessing the implementation of long-acting reversible contraceptive implant, Implanon NXT, roll out in East London, Eastern Cape, South Africa.
- Authors: Mdingi, Mildred Mandisa
- Date: 2020
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18452 , vital:42267
- Description: Background: In 2014, South African Department of Health (SADOH) initiated use of Implanon NXT, a type of implant in addition to long-acting reversible contraceptives available in the country to expand contraceptives options for women of reproductive age. After its introduction, there were reports on early removals and frequent side effects. It is therefore vital to identify how successful the implementation of this method was in particular in East London area. Objectives: The purpose of this study was to evaluate how successful the implementation of Implanon NXT roll out was in East London, Eastern Cape. Additionally, the study also aimed to understand the views health care providers have of the Implanon NXT. Methods: A retrospective crosssectional design using existing data from family planning registers and distribution of questionnaires to Health Care Providers responsible for insertion and removal of the method (HCP). Results: February 2014 to March 2019, 1238 Implanon NXT insertions were done and only 266 removals in one study site. Out of the 266 participants, 67.7% of the participants removed the Implanon for reasons other than ill health (side effects), while the remaining 32.3% had experienced side effects and opted for early Implanon removal. Bleeding was the most common side effect reported by 44 of 266 (16.5%) participants. The health care providers who completed questionnaires for this study were overall confident in providing the Implanon NXT services. Conclusion: Implementation of a new contraceptive method requires clear standardised policies and guidelines on counselling and management of side effects. Findings of this study are reassuring that Implanon NXT had a role to play in prevention of unintended pregnancies. Implementation and rollout in one site reviewed has been demonstrated to be successful. The respondents in this study possesses knowledge about the Implanon NXT.
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- Date Issued: 2020
Assessing the Social Sustainability of Wind Energy in the Karoo
- Authors: Hechter, J P
- Date: 2020
- Subjects: Wind power -- South Africa -- Karoo
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/48378 , vital:40854
- Description: Background: In an ecologically conscious world, the need for sustainable development and the need to produce alternative energy is at the forefront of discussions. South Africa has been witnessing to a surge in wind energy developments in recent years. Although, environmental impacts often enjoy more emphasis, social impacts are equally important. Recently social sustainability was seen as an integral part of sustainable development for the future and can no longer be ignored. Wind energy is pathway towards sustainable development but can have detrimental impacts on social sustainability. On the one hand wind energy is said to impact culture, sense of places and cause unrest in a community, however, on the other hand it is said to be socially sustainable to the point where wind energy is incorporated into local culture and not to mention the employment opportunities it can create. This is particularly important for vulnerable communities found in the Karoo, where unemployment is very high. Purpose/ Aim: The aim of this study was to assess the social sustainability of a wind energy project in the Karoo by constructing a theoretical assessment model designed to produce appropriate and specific social indicators. Methodology: A literature review was undertaken to gain insights into the social sustainability of wind energy which also served as the theoretical backbone for the model and assessment parameters. The assessment model produced 10 indicators which was used as interview schedule with key stakeholders in the study area. A total of 31 qualitative interviews were conducted and produced a good data set. Findings: The results from this study show that here was no significant negative impact reported with regards to social sustainability. The wind developer is committed to the community based on the various social initiative funded by it. Although a definite positive impact and improvement in terms of social sustainability is evident in the area, there is still a long way to go as many outcomes set by the wind developer is yet to achieved.
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- Date Issued: 2020
Assessment of the implementation of the citizen centric strategies for social grant service delivery :Chris Hani District
- Authors: Danster, Siyabulela
- Date: 2020
- Subjects: South African Social Security Agency -- South Africa -- Chris Hani District
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46692 , vital:39609
- Description: This study aimed to assess the implementation of citizen centric strategies for social grant service delivery in the Chris Hani District and if SASSA is still living up to its promise. SASSA claims it will always pay the right social grant, to the right person, at the right time and place. This study aimed to understand and assess the different strategies of SASSA towards enhancing citizen experience in delivering social grants. The study’s objective was to assess citizen experience regarding the SASSA social grant payment systems, the social grant application processes, and SASSA communication and advocacy programmes. To conduct this study, a qualitative research methodology was employed. The population sample comprised of SASSA officials in the Chris Hani District. Semi-structured interviews were conducted with SASSA officials. The findings of this study reveal that SASSA did well to improve application turnaround time from 90 days to one day. Even so, payment methods must be improved. The recommendations suggest that SASSA should consider insourcing the function of paying social grants and consider opening the closed pay-points, as beneficiaries are struggling to travel to the remaining opened pay-points. The findings also proposed aligning the SocPen and MIS.
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- Date Issued: 2020
Assessment of the microbial quality of various domestic rainwater harvesting systems and the suitability of a nano based treatment method
- Authors: Malema, Mokaba Shirley
- Date: 2020
- Language: English
- Type: thesis , text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/110218 , vital:33249 , https://dx.doi.org/10.21504/10962/110218
- Description: Thesis (PhD)--Rhodes University, Faculty of Science, Chemistry, 2020.
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- Date Issued: 2020
Associations between family history of diseases of lifestyle, lifestyle behaviour and anthropometric nutritional status of pre-school children in ECD centres in the Nelson Mandela Bay Municipality
- Authors: Wilson, Teresa Margaret
- Date: 2020
- Subjects: Nutrition--Evaluation
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46344 , vital:39602
- Description: Introduction: Childhood overweight and obesity is an escalating global health issue. In Africa, overweight and obesity prevalence in children has nearly doubled since 2000(World Health Organisation, 2018).TheSANHANES-1 study (2013) identified that overweight and obesity in were most prevalent in urban informal areas of South Africa, with approximately a quarter of the children classified as overweight or obese (Shisana et al., 2013).In the Nelson Mandela Bay Municipality(NMBM), a double burden of disease was identified in the lower socio-economic population (Phekana et al., 2016). This study and others recommended further study into the contributing factors and behaviours which play a role in the development of overweight and obesity in children. These include household dietary intake, family history of lifestyle diseases, as well as the children’s and parental physical activity and sedentary time (Zhang et al.,2016).Aim: The aim of the study was to determine the associations between family history of diseases of lifestyle, lifestyle behaviour and anthropometric nutritional status of pre-school children in NMBM to describe underlying causes of childhood overweight and obesity.Methods: A cross-sectional design, using a quantitative approach, was used for this study(Ethics approval: H18-HEA-DIET-004). The study population included adult parents and/or caregivers of children from urban areas of Nelson Mandela Bay Municipality attending crèches and schools in these areas, in the age group from birth to 96 months (8 years). Randomised cluster sampling of crèches and schools from an existing database of anthropometrical data of children attending these crèches and schools in the area was done and a final sample of n=155obtained. With the assistance of a trained fieldworker, respondents completed a questionnaire detailing the family history of lifestyle diseases, physical activity levels and sedentary screen time behaviours, and a graphical adjusted version of a household dietary diversity questionnaire. Data about children’s activity levels in the preschool/creche environment was collected by the fieldworker by assessing the ECD centres’daily activity schedules. The anthropometric data of the children of the respondents was accessed from an existing database of these measurements. The data was described using means and standard deviations. Inferential statistics determined any existing associations between these underlying influences of childhood obesity.Results: Only 2% (n=3) of the children were underweight and 12% (n=9) were at risk of becoming underweight as classified by WAZ. HAZ scores identified26% (n=40) of the children at risk of becoming stunted, and 6% (n=9) of the children were already stunted. WHZ classified5% (n=8)of the children as overweight and 5% (n=8)as obese. A further 22% (n=34) of the children were at risk of becoming overweight.BMI/age classificationidentified25% (n=38) of the children as overweight and a further 12% (n=19) as obese. Out of the sample, 12%(n=17) of mothers and 8% (n=7) of fathers were categorised as overweight-to-obese according to the SA specific waist circumference(WC)cut-offs. Out of the children, 15% (n=22) have at least one parent who was overweight-to-obese. Traditional WC categories were classified48% (n=67) of the mothers as overweight-to-obese and at high risk for metabolic syndrome. Of all the lifestyle diseases, hypertension was the most prevalent with 29% (n=41) of households having at least one parent with hypertension. Parental physical activity was grossly overestimated, and the results found to be invalid. The Diet Variety and Frequency score resulted in a mean of 65.00 (n=154, SD=27.37) out of a possible 100 for the households in this sample, and junk food was consumed on three to four occasions per day in 32% (n=49) of households. There were no significant associations found between the parents’ variables and underweight children. Statistically small to medium effect associations were found between parental weight (both SA specific and traditional categories) and overweight children (classified by WHZ and BMI/age). Conclusions and recommendations: The prevalence of overweight and obesity among children in the NMBM was high. The only possible underlying cause of childhood overweight and obesity in pre-school children in the NMBM that could be determined by this study was parents’ weight classified by WC. However, it must be reiterated that due to the cross-sectional nature of the study, an association does not immediately mean causation, and the results are not adequate to rule out other underlying factors influencing childhood obesity. It is recommended that the results of the study are used to incentivise the final implementation of all the intervention targets laid out in the Strategic Plan for the Prevention and Control of Obesity in South Africa 2015-2020 in NMB, and for the development of the future obesity strategy after 2020. The results have shown the necessity for future health interventions to be targeted at the family as a unit.
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- Date Issued: 2020
Attention-deficit/hyperactivity disorder (ADHD) in South Africa: diagnosis and treatment from childhood to adulthood
- Authors: Munasur-Naidoo, Ashmitha Premchand
- Date: 2020
- Subjects: Attention-deficit hyperactivity disorder
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/46398 , vital:39603
- Description: Background: Historically Attention-Deficit/hyperactivity disorder (ADHD) was, considered to be a condition that affected mainly children. Over a period of time, there has been a greater understanding to recognize that this condition is also present in the adult population. Globally, treatment for adults has been established as is evident from the various guidelines available. In South Africa, however,healthcare is split into the public and private sectors, which results in differences in the extent of diagnosis and treatment for adults with ADHD.Aim: The primary aim of the study was to evaluate ADHD in South Africa from childhood to adulthood and to determine to what extent adults are being diagnosed and treated.Method: This study comprised of two facets, namely, a drug utilization review and a questionnaire survey. The first part comprised of a retrospective drug utilization study evaluating the consumption and cost of medication used in the treatment of ADHD. The questionnaire was undertaken using a survey methodology amongst selected healthcare professionals in South Africa involved in the diagnosis and treatment of adult ADHD. The data generated from this study together with available guidelines was assessed and a proposed framework for the treatment and diagnosis of adult ADHD was developed for use in the South African public healthcare sector. Results: Based on the registered medication available to treat ADHD, the consumption of methylphenidate and atomoxetine in the private healthcare sector using the Intercontinental Marketing Service database from 2013 to 2016was established. Despite the controversy regarding stimulant medication, methylphenidate was shown to be the medication of choice in South Africa. The consumption of methylphenidate (95.85%) was higher when compared to atomoxetine (4.15%) in 2013 and very slight changes were observed in 2016 were the consumption was 96.40% and 3.60%, respectively. Similarly, over a four-year period, the spend on ADHD medication increased in 2013 to 2016 by 62.63%. Furthermore, the market share for ADHD is dominated by extended-release methylphenidate tablets (59.53%). The questionnaire survey amongst selected healthcare professionals in South Africa involved in the diagnosis and treatment of adult ADHDhighlighted the tools used for diagnosis, pharmacological and non-pharmacological treatment options, which treatment has been found to be most successful, difference in treatment between genders, incorporation of supplementation into the management of patients, difficulties experienced by patients and which co-morbid conditions were also prevalent with ADHD. Based on the data collated in this study and an evaluation of the available guidelines, a framework for treatment of adult patients in the public healthcare sector has been proposed for South Africa at a provincial and national level. Conclusion: In South Africa treatment for ADHD is increasing in the private healthcare sector. The cost and consumption of methylphenidate and atomoxetine has risen over a short period. The treatment of adults in the private sector has also garnered interest, however, the public sector has not yet published guidelines enabling access to diagnosis and treatment for these adult patients. Given the chronic, costly, and debilitating nature of this condition more needs to be done to assist those affected by it. Further studies in this area of neuropsychiatry in South Africa is required to enable access to diagnosis and treatment in the public healthcare sector.
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- Date Issued: 2020
Attentive amelioration: developing and evaluating an applied mindfulness programme for psychologists
- Authors: McGarvie, Susan
- Date: 2020
- Subjects: Attentive Amelioration Programme , Mindfulness (Psychology) , Psychotherapy -- Practice , Counseling -- Practice , Medical professionals -- Mental health
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/166186 , vital:41336
- Description: It is readily accepted that healthcare in many third world countries is in crisis, but interestingly, even in wealthy first world countries, many healthcare systems are stretched to their limits, as fewer people choose to follow a career in healthcare and more staff members struggle under the pressures of an overextended system (Krasner, et al., 2009). Ways to improve healthcare practitioner wellbeing is thus a relevant and widely investigated topic (McCann et al., 2013), which has, until recently, been aimed at reducing the negative symptoms associated with poor wellbeing, such as stress and burnout. More recently, there has been burgeoning interest in the effects and potential benefits of mindfulness practice to wellbeing, especially in developed English-speaking countries like the UK, Canada, USA, Australia, as well as in Europe. The aim of this study was to contribute to this body of literature by proposing a more personalised and person-centred means to support and improve wellbeing. It was guided by an overarching research question, about the benefits of a mindfulness-based wellness course for practicing psychologists. This study is a mixed-methods narrative inquiry which employs both Action Research (AR) and Programme Evaluation methods. It involved the design, implementation and evaluation of a mindful-wellness programme, subsequently named the Attentive Amelioration programme. Ten participants were purposively recruited and enrolled in the programme, which ran over eight weeks and included coaching and blended learning facilitation methods, including: an introductory workshop (with a pedagogical mix of lecture, group discussion, practical activities, learners manual and YouTube clips), individual and group coaching sessions, and an online learning programme. The findings suggest that psychologists do experience a great deal of stress and perceived levels of burnout are high, even if the scores on the pre- and post- intervention self-assessment scales do not entirely support this perception. This study found that participants were open to and engaged with mindfulness training and practice and sustained that practice for several months post-intervention. Finally, overall findings suggest that while the Attentive Amelioration programme was effective as a means to cultivate and develop mindfulness, self-compassion and overall wellbeing in the short-term, further investigation is required to determine the sustainability of the effects over the long-term. The findings of this study support the overall aims of the study in that it has found that the participating psychologists found the Attentive Amelioration programme to be beneficial, supportive and even therapeutic. By contributing to and supporting findings of existing research, that suggest that a mindfulness-based coaching programme would be beneficial to psychologist wellbeing and therapeutic proficiency, it serves to advocate for mindfulness as a means to improve and sustain psychologist wellbeing..
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- Date Issued: 2020
Audio-Visual and Cyber Evidence in the Context of Criminal Law
- Authors: Madzika, Koshesayi
- Date: 2020
- Subjects: Electronic evidence -- Law and legislation -- South Africa
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: http://hdl.handle.net/10948/47380 , vital:39967
- Description: In the past decade technology has advanced significantly and at a very rapid pace. This advancement and rapid growth of technology has affected many aspects of life, including legal systems. An area of law particularly affected by the rapid changes in technology is the law of electronic evidence, especially as far as criminal matters are concerned. This is largely due to an increase in crimes committed over the internet. The growth of technology, such as cyber communications and mass media, has made audio visual and electronic messages important forms of evidence. The purpose of this research is to show the complications that technology has brought about as far as electronic evidence in the context of criminal law is concerned. It is acknowledged that South Africa has an existing legislative framework regulating electronic evidence, but it is submitted that there are lacunae in such legislation. The aim of the dissertation is therefore to expose the lack of adequate regulation in South Africa in dealing with electronic evidence. A further aim of the research is to seek to provide solutions to problems related to the regulation of electronic evidence. It is important to determine the current laws regulating electronic evidence in order to expose the lacunae within those laws. An outline of the current legal framework regulating electronic evidence shall be given. This consists of the historical background on the admissibility of electronic evidence; the constitutional basis for admitting such evidence and legal principles governing electronic evidence. Inadequate regulation of electronic evidence is a serious problem, as technology has overtaken some areas of the physical world. The criminal justice system has also been affected especially in the admissibility of electronic evidence. The problems regarding electronic evidence in criminal law matters shall be fully assessed in order to reflect how the criminal justice system has been affected and the consequences of inadequate regulation. In seeking solutions to the problems of inadequate regulation of electronic evidence, reliance is placed on recommendations by the South African Law Reform Commission; international and foreign law. A conclusion is drawn from the dissertation that, whilst technology has been rapidly advancing, the South African law regulating electronic evidence has remained largely unchanged, rendering it incapable of sufficiently regulating matters in which electronic evidence plays a key role. The demand for adequate legislation on electronic evidence is therefore apparent in this regard.
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- Date Issued: 2020
Audit of intravenous antifungal therapy used for Candida infections at a South African private hospital
- Authors: Van Dyk, Jacklyn Kate
- Date: 2020
- Subjects: Candidiasis
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/46380 , vital:39600
- Description: The epidemiological landscape of the candida species has changed with the emergence of MDR strains globally and in South Africa. The aim of this study was to critically evaluate the compliance to guidelines in the use of intravenous antifungal therapy when treating invasive Candidainfections in a South African private hospital.Objective One was to determine the prevalence of Candida auris(C.auris) in the sample. Objective Two examined the relationship between high-risk patients and positive microbiological cultures. Objective Three studied the prescribing utilisation of the intravenous antifungalsin the form of a clinical audit. Objective Four compared these prescribing patternsto current guidelines by evaluating whether the antifungal course was non-compliant, of suboptimal compliance or compliant. Objective Five was to design a protocol for ward pharmacists to use when assessing antifungal treatment for candidiasis. The research design consisted of a retrospective, non-experimental, cross-sectional analysis of intravenous antifungal use in the management of systemic Candida infections in a private sector hospital in the Gauteng province, South Africa.A positive research paradigm with a quantitative clinical audit was used in this study. The most prevalent species cultured was C.auris with 31 of the 77 positive cultures. Risk stratifying patients was validated with 70% of high risk patients (Candida Score >2.5 and positive β-D-glucan) having a corresponding positive culture. Echinocandins were the most frequently utilised antifungal class, with caspofungin being the most used antifungal in the sample. The average duration of therapy for the echinocandins ranged between 11 and 16 days. Compliance to guidelines was evaluated accordingto: reason for initiation; drug choice and drug dose. Three levels of compliance were determined: non-compliant, sub-optimal compliance and compliant. xivThe overall compliance,according to recommended treatment guidelines,was found to be suboptimal, with anidentified need foranintervention which targets thedosing of the antifungals used. In conclusion, the research findings highlight the importance of reviewing antifungal prescribing habits and the need for antifungal stewardship programmes.
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- Date Issued: 2020
Awareness, knowledge and practices with regards to alcohol use of pregnant women in the Missionvale area
- Authors: Du Preez, Mingon
- Date: 2020
- Subjects: Pregnant women -- Alcohol use
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46404 , vital:39572
- Description: South African statistics, when compared to global statistics, has an above-average occurrence of Fetal Alcohol Spectrum Disorder(FASD). Alcohol use during pregnancy is on the rise globally and has far-reaching consequences. FASD is an umbrella term that describes the range of effects that can occur in an individual whose mother consumed alcohol during pregnancy.FASDnot only has an abiological, social and emotional negative impact on the individual, but also creates an added burden on the family caring for such an individual. When this condition occurs in a third world country, like South Africa, there is an economic impact as this country has limited physical and human resources to deal with the multitude of repercussions associated with this condition. This study was conducted in the Missionvale Community, an impoverished area of Port Elizabeth in the Eastern Cape. Participants were selected from this community, as clients attending the psychology clinic in the area frequently present with diagnosed FASD and co-concurring conditions, such as scholastic underachievement and behavioural conditions. These factors perpetuate an individuals inability to rise above their current circumstances as they are frequently unable to complete their schooling and are consequently unable to find unemployment. Prevention of FASD is a social, public and personal health issue that requires a multifaceted approach to intervention. The present study aimed to determine participants’ awareness, knowledge levels and practices with regard to alcohol use during pregnancy. Previous studies conducted in the Eastern Cape have primarily focused on the outcomes of prenatal alcohol exposure rather than the contributing factors, thus making this study the first of its kind to be conducted in the Eastern Cape. The study was quantitative in nature and participants were obtained through purposive sampling. A questionnaire, comprising of four different sections was used to obtain the necessary information. The sections in the questionnaire tapped information about the following concepts: Demographics, awareness, knowledge, and practices of alcohol use by pregnant women. The statistical results and additional comments by the participants assisted the researcher to gain a better understanding of the awareness levels, knowledge, and practices with regard to alcohol use of pregnant women residing in the Missionvale area. The results from the study indicate that participants have a general awareness that alcohol use during pregnancy could be harmful to an unborn baby but lack in-depth specific knowledge of the adverse effects of prenatal alcohol exposure.
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- Date Issued: 2020
Azadipyrromethenes for applications in photodynamic antimicrobial chemotherapy, photodynamic therapy and optical limiting
- Authors: Dubazana, Nadine
- Date: 2020
- Subjects: Dyes and dyeing -- Chemistry , Photochemotherapy , Cancer -- Photochemotherapy , Anti-infective agents , Staphylococcus aureus , Nonlinear optics , Azadipyrromethenes , BODIPY
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/166150 , vital:41333
- Description: Azadipyrromethenes, azaBODIPYs and zinc azadipyrromethene complexes were prepared and characterised to examine the effect on their photophysical properties of incorporating phenyl groups at the 1,3,5,7-positions with electron-donating and withdrawing groups at the para-positions. To enhance their ability to generate singlet oxygen, appropriate structural modifications were made through the addition of a Zn(II) ion or halogenation at the 2,6 positions. In vitro photodynamic therapy (PDT) studies targeting MCF-7 human breast cancer cells were carried out. To evaluate and understand the effectiveness of the dyes as photosensitisers, cellular uptake, phototoxicity and the half-maximal inhibitory concentration (IC50) values were analysed. Photodynamic antimicrobial chemotherapy (PACT) studies were also carried out to study the effectiveness of the dyes against Staphylococcus aureus (S. aureus). Dyes with donor-π-acceptor (D-π-A) properties were synthesised and tested against the second harmonic of the Nd:YAG laser in optical limiting (OL) studies. The second-order hyperpolarisability, third-order susceptibility and nonlinear absorption coefficient values were determined. The results suggest that 1,3,5,7-azaBODIPY dyes may be less suitable for use in this context than analogous D-π-A 3,5-distyrylBODIPY dyes. Molecular modelling was carried out to identify the structure-property relationships of the synthesised dyes by analysing trends in the energies of the frontier molecular orbitals (MOs) and spectroscopic properties.
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- Date Issued: 2020
Bail applications in Nigeria and South Africa
- Authors: Babalola, Abdulateef Taiwo
- Date: 2020
- Subjects: Bail -- South Africa
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: http://hdl.handle.net/10948/47325 , vital:39847
- Description: Between the point of arrest and conviction, an accused person has a right to be released on bail based on his or her Constitutional right to liberty as well as the right to be presumed innocent. To grant bail to an accused person serves as a form of contract of insurance or a guarantee that if the accused person is released pending the determination of the case against him, he will not frustrate the course of justice and will appear at a later date to face trial. The essence of bail is to allow the accused person enjoy his right to liberty pending the determination of the criminal charge if the interest of justice will permit for his or her release. This study aims at comparing bail proceedings in both the Nigerian and South African criminal justice systems. The constitutions of both jurisdictions make provision for bail, as well as the Administration of Criminal Justice Act applicable in Nigeria and the Criminal Procedure Act which is applicable in South Africa. By comparing both jurisdictions, the similarities and differences that exist between both systems will become evident, which makes them unique and distinct of each other. During the course of this study, it will be discovered that the Nigerian bail procedure do not meet up to international standards in protecting the right to personal liberty of accused persons. It is believed that the recommendations that will be suggested in this study will improve the Nigerian bail procedure and make it more effective and efficient.
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- Date Issued: 2020
Barriers to, and enablers of urban tree planting in low-cost housing areas: lessons from participatory learning processes in South Africa
- Authors: Gwedla, Nanamhla
- Date: 2020
- Subjects: Urban ecology (Sociology) -- South Africa -- Eastern Cape , Tree planting -- South Africa -- Eastern Cape , Trees in cities -- South Africa -- Eastern Cape , Urban forestry -- Law and legislation -- South Africa -- Eastern Cape , Low-income housing -- South Africa -- Eastern Cape , Cultural Historical Activity Theory (CHAT)
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/167065 , vital:41434
- Description: The recent pronouncement of low-cost housing areas as sustainable human settlements came with an expectation for their development in line with Sustainable Development Goal (SDG) 11. Unfortunately, the historical legacy and various socio-economic, socio-political, and socio-cultural dynamics characteristic of these areas have proven it challenging for them to conform to all requirements of urban sustainability, as evidenced in part by the virtual lack of greenspaces and urban trees. Through a three-tier inquiry of urban tree planting in low-cost housing areas using inductive and deductive mixed methods approaches, the aim of this research was to investigate the barriers to, and enablers of, tree planting in low-cost housing areas, and explore participatory learning opportunities to address the challenges and enhance the enablers. In the first segment, a participatory urban forest governance conceptual framing lens was used to situate the various actors in the development of the low-cost housing area urban forest and the dynamics of their involvement in that regard. Inquiry focused on an overview of tree planting across South Africa using key informant interviews, observations and document analysis. Secondly, distribution of trees, and barriers and enablers of tree planting in selected low-cost housing areas in the Eastern Cape province using household surveys, observations, key informant interviews and document analysis were investigated. Finally, drawing on interventionist methodology and adoption of Cultural-Historical Activity Theory (CHAT), the third segment tested scenarios of tree planting in three different small towns through focus group discussions and knowledge-sharing awareness events about trees and tree planting using an activity systems approach. Findings from the first segment ascertain the national Department of Environment, Forestry and Fisheries (DEFF) as the custodian of forestry, and by extension urban forestry in South Africa. Municipalities are tasked with implementing greening plans and strategies for public space planting, while private businesses collaborate with entities to contribute to tree-planting as part of their Corporate Social Responsibility (CSR). Civil society, including residents and Non-Governmental Organizations (NGOs) also contribute, especially for private space planting. However, there are currently very few initiatives implemented in low-cost housing areas. An assessment of ten tree planting initiatives revealed that the DEFF is the most common partner and stakeholder, and normally provides resources such as funding and trees. Most programs reported having undertaken community engagement before and during the tree planting. The general outcomes of these initiatives were centred on the survival rate of trees, job creation, and development of parks and gardens. Findings from the first part of the second segment, conducted in eight small-medium sized towns in the Eastern Cape, revealed a general lack of trees along streets of both the newly developed and old low-cost housing areas. In the private spaces, most households (52 %) reported having at least one tree in their yard, with households in the older suburbs (60 %) reporting more trees than the newer ones (44 %). Most of these trees (66 %) had been planted as opposed to natural regeneration. Previous participation in urban tree planting programs was low, but 75 % of residents expressed willingness to participate in the future. Municipal officials from these towns corroborated that they do not host tree planting events or initiatives, which was demonstrated by the limited incorporation of urban forestry and urban greening in municipal Integrated Development Plans (IDP). In the second part of the second segment, three groupings of barriers and enablers into biophysical, social, and resources revealed that the most mentioned barriers for the private space were resource barriers. The most prominent barriers were limited space in people’s yards, insufficient funds for tree purchases and associated resources, the lack of equipment, and damage to planted trees. Private space enablers of tree planting suggested include the availability of funds, allocation of space, and changes in attitudes towards trees. According to residents, the most prominent barriers to public space planting include the perceived incompetence of municipalities, limited space on the street, insufficient funds for tree planting programmes, damage to trees in public spaces, crime associated with street trees, and politics. Additionally, municipal officials reported that their efforts to plant trees were hindered by lack of communication and coordination between municipal departments. Residents suggested that enlisting the skills of residents for tree planting, engaging in education and awareness initiatives about trees and tree planting, and changing attitudes towards trees could enable tree planting. Municipal officials opined that education and awareness, revisions to and implementation of Environmental Management Plans, and inter-departmental collaborations and partnerships could improve the prospects for public space planting. Drawing on key findings from the second segment, an intervention to involve communities in tree planting using a case study approach in three towns ensued. Here an activity systems analysis of participatory tree planting initiatives was used. Findings revealed an array of multi-activity systems with multiple and partially overlapping objectives related to tree planting. Residents demonstrated that, with support, they can champion urban tree planting for their suburbs. However, contradictions and tensions within and between various activity systems emerged, creating opportunities for the expansive transformation of an activity that was previously not a priority. This study highlights the current distribution of power and resources in the governance system of the urban forest, ascertains the spatial heterogeneity of urban trees in areas of a similar socio-economic context, and provides lessons for best-practice in tree planting that involves multiple actors. It provides in-depth insights into what constrains tree planting, and highlights the importance of residents in the governance system of urban forests and how this can constrain or advance tree planting. Further research in participatory urban forest governance for a developing country, low-income context could utilize an expansive learning platform as this will provide first-hand experiences into learning what is not yet there, and provide communities with the opportunities to explore and devise localized solutions to the lack of trees in their residential areas.
- Full Text:
- Date Issued: 2020
Bayesian accelerated life tests for the Weibull distribution under non-informative priors
- Authors: Mostert, Philip
- Date: 2020
- Subjects: Accelerated life testing -- Statistical methods , Accelerated life testing -- Mathematical models , Failure time data analysis , Bayesian statistical decision theory , Monte Carlo method , Weibull distribution
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/172181 , vital:42173
- Description: In a competitive world where products are designed to last for long periods of time, obtaining time-to-failure data is both difficult and costly. Hence for products with high reliability, accelerated life testing is required to obtain relevant life-data quickly. This is done by placing the products under higher-than-use stress levels, thereby causing the products to fail prematurely. Part of the analysis of accelerated life-data requires a life distribution that describes the lifetime of a product at a given stress level and a life-stress relationship – which is some function that describes the way in which the life distribution changes across different stress levels. In this thesis it is assumed that the underlying life distribution is the wellknown Weibull distribution, with shape parameter constant over all stress levels and scale parameter as a log-linear function of stress. The primary objective of this thesis is to obtain estimates from Bayesian analysis, and this thesis considers five types of non-informative prior distributions: Jeffreys’ prior, reference priors, maximal data information prior, uniform prior and probability matching priors. Since the associated posterior distribution under all the derived non-informative priors are of an unknown form, the propriety of the posterior distributions is assessed to ensure admissible results. For comparison purposes, estimates obtained via the method of maximum likelihood are also considered. Finding these estimates requires solving non-linear equations, hence the Newton-Raphson algorithm is used to obtain estimates. A simulation study based on the time-to-failure of accelerated data is conducted to compare results between maximum likelihood and Bayesian estimates. As a result of the Bayesian posterior distributions being analytically intractable, two methods to obtain Bayesian estimates are considered: Markov chain Monte Carlo methods and Lindley’s approximation technique. In the simulation study the posterior means and the root mean squared error values of the estimates under the symmetric squared error loss function and the two asymmetric loss functions: the LINEX loss function and general entropy loss function, are considered. Furthermore the coverage rates for the Bayesian Markov chain Monte Carlo and maximum likelihood estimates are found, and are compared by their average interval lengths. A case study using a dataset based on accelerated time-to-failure of an insulating fluid is considered. The fit of these data for the Weibull distribution is studied and is compared to that of other popular life distributions. A full simulation study is conducted to illustrate convergence of the proper posterior distributions. Both maximum likelihood and Bayesian estimates are found for these data. The deviance information criterion is used to compare Bayesian estimates between the prior distributions. The case study is concluded by finding reliability estimates of the data at use-stress levels.
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- Date Issued: 2020
BEd foundation phase fourth year student teachers’ self-efficacy beliefs towards teaching mathematics and the self-reported factors that influence these self-efficacy beliefs
- Authors: Harrison, Chloe
- Date: 2020
- Subjects: Mathematics -- Study and teaching (Elementary) -- South Africa , Mathematics teachers -- Training of -- South Africa , Educational evaluation -- South Africa , Student teachers -- Training of -- South Africa , Student teachers -- Rating of -- South Africa , Social cognitive theory , Self-efficacy
- Language: English
- Type: Thesis , Masters , MEd
- Identifier: http://hdl.handle.net/10962/147004 , vital:38584
- Description: The underperformance of mathematics teaching and learning is a pressing concern in South Africa. Many foundation phase in-service teachers show inadequate mathematics content knowledge which creates barriers to their learners acquiring adequate mathematics skills. Teacher training programmes offer a key opportunity to improve the instructional practices of teachers at foundation phase level. In order to improve the teaching skills of in-service teachers, one focus must be on teacher training programmes. Unfortunately, there are many foundation phase student teachers who are leaving the profession within the first few years of teaching reportedly due to low levels of motivation. This research investigates the self-efficacy beliefs of pre-service student teachers. It also focuses on foundation phase student teachers as they experience significant challenges to their self-efficacy beliefs in mathematics and mathematics teaching. Self-efficacy is the key theory of the study. It stems from Bandura’s social cognitive theory and is an individual’s judgments about their capabilities, skills and perceived performance. This qualitative research adopts an interpretivist approach which seeks to identify Bed foundation phase fourth year student teachers’ self-efficacy beliefs towards teaching mathematics and the self-reported factors influencing such beliefs. This research found that BEd foundation phase fourth year student teachers have low self-efficacy beliefs towards teaching mathematics. The purpose of this research is to raise awareness of the BEd student teachers’ low self-efficacy beliefs towards teaching mathematics. The results from this research will provide a platform for future intervention research, as well as potentially influencing student teacher training programmes.
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- Date Issued: 2020